Go Beyond Raw Data
When an audit process involves our Compliance Risk Analyzer, you’re doing more than just gathering raw data — you’re giving your organization an efficiency boost that lets you allocate resources toward audit preparation without having to spend massive amounts of valuable time identifying potential risk areas. CRA replaces the need to interpret raw claims data with a unique scoring system. Advanced calculations and comparisons are distilled into an easy-to-understand risk score from 0 to 100, representing how high or low a provider’s audit risk is. Users are then presented with an automated Audit Action Plan for every provider – prioritized by provider and code – to quickly determine where internal reviews are required.
A Straightforward System
Internal Auditors shouldn’t need to have advanced degrees in statistics to create meaningful change in your organization. CRA distinguishes itself by its ability to condense overwhelming reams of data into actionable targets. Reports are organized in a similar pattern, making it easy for any team member to assess risk and correct situations that are causing that risk.
Risk Management and Revenue Enhancement
By analyzing claims on a regular basis, you shield your organization and providers from the hardships of an audit and even flip the switch on payers. CRA’s laser-like precision isn’t just able to identify audit risks, it also finds opportunities where claims may have left money on the table. Our clients have successfully realized significantly higher payments going forward after reviewing the under-coded claims flagged by CRA – and you can too.